Title: Retrospective contrast analysis of Video-assisted thoracoscopic surgery and Thoracotomy in treating postoperative chylothorax
Abstract: Objective To evaluate the clinical impacts of video-assisted thoracoscopic surgery in treating postoperative chylothorax. [Methods] Retrospective constract analysis of the clinical data of 11 patients who developed postoperative chylothorax. All of them underwent ligation of thoracic duct, 6 patients thoracotomy (thoracotomy group), 5 patients VATS (VATS group). [Results] All of the patients underwent ligation of thoracic duct smoothly. The operative time was significantly longer for VATS group than for the thoracotomy group (P0.05); the blood loss during operation was significantly less for VATS group than for the thoracotomy group (P0.05); the time for incisional heal and the duration of hospitalization after operation were significantly shorter for VATS group than for the thoracotomy group (P0.05); postoperative ache grade and the dose of intensive anodyne(morphine) used were significantly less for VATS group than for the thoracotomy group (P0.05). There were no significant difference for the two groups at the duration and the volume of postoperative drainage and at the time of blood RT regain normal (P0.05). There were no complications for the two groups during or after operation. There were no recurrence of chylothorax during Follow-up (range, 6 to12 months), and the rate of follow-up was 100%. [Conclusions] VATS is an effective tool in the management of postoperative chylothorax. Its minimal invasion, less blood loss, less pain, rapid incisional healing and short length of stay suggest it is a preferred treatment of postoperative thylothorax.
Publication Year: 2005
Publication Date: 2005-01-01
Language: en
Type: article
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